Defects of helix and scapha-Reconstruction with anterior cervical tube flap -Is multistage procedure still Gold standard in the field of Plastic Surgery?

DR.M.SUGUMAR; DR.N.CHANDRAMOULI HARIHARAN

Volume : VIII, Issue : X, October - 2018

Defects of helix and scapha-Reconstruction with anterior cervical tube flap -Is multistage procedure still Gold standard in the field of Plastic Surgery?

Dr. M. Sugumar, Dr. N. Chandramouli Hariharan

Abstract :

Helix gives the definition for the pinna. The loss of even a part of the helix and scaphagives an illusion of significant loss of the pinna.

Background

When the defect exceeds half of the pinna circumference local tissues are insufficient and the distant tissue transfer from anterior neck in stages gives good cosmetic result and a satisfied patient.

Materials and methods

20 cases of helical defect due to trauma and assault who attended our emergency room from 2012–2017 were managed with anterior cervical tube flap transfer in stages– 2 stages in flap dissection and 2 stages in flap inset

Results

All the flaps settled well without any necrosis or dehiscence. Donor site morbidity was minimal. Many don’t require support.All the patients were highly satisfied about the post–op result

Conclusion

Though this is a multi–staged procedure, goodcolour match ,helical fold preservationandminimal donor site morbidity make this a gold standard in helical reconstruction